11D2289710 CLIA NUMBER - FAMILY PRACTICE CENTER

Laboratory Demographics

  • CLIA Code: 11D2289710
  • Facility Name: FAMILY PRACTICE CENTER
  • Facility Address: 4298 ATLANTA ROAD SE, SUITE 310
    SMYRNA, GA
    ZIP 30080
  • Facility Phone: 404 256-1727
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES H. WHEELER
  • NPI Number: 1386763514
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2289710
LAB Type Physician Office
Facility Name FAMILY PRACTICE CENTER
Street 4298 ATLANTA ROAD SE, SUITE 310
City SMYRNA
State GA
ZIP 30080
Phone 404 256-1727
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director JAMES H. WHEELER

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This page was last updated on: 9/29/2025